A client receiving which of the following medications would the nurse identify as being at increased risk for candidal infections?

Antihypertensive therapy.

Antibiotics.

BetaBlockers.

Diuretics.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Antihypertensive therapy. Rationale: Antihypertensive medications are used to manage high blood pressure. While they may have some side effects, they do not significantly increase the risk of candidal infections. Candidal infections are primarily caused by an overgrowth of Candida, a type of yeast, and are often associated with factors that disrupt the body's normal microbial balance. Antihypertensive drugs do not directly affect the body's susceptibility to candidal infections.

Choice B rationale:

Antibiotics. Rationale: Antibiotics are known to disrupt the normal microbial balance in the body, including the balance of bacteria and yeast. This disruption can lead to an overgrowth of Candida and an increased risk of candidal infections. Antibiotics kill not only harmful bacteria but also beneficial bacteria that help keep Candida in check. This imbalance can result in candidal overgrowth, causing infections such as oral thrush or vaginal yeast infections.

Choice C rationale:

BetaBlockers. Rationale: Beta-blockers are a class of medications commonly used to treat conditions like hypertension, angina, and arrhythmias. They work by blocking the effects of adrenaline, primarily on the heart. While beta-blockers have various side effects, including potential impacts on blood sugar and lipid levels, they do not significantly increase the risk of candidal infections. Candidal infections are more closely associated with medications that disrupt the microbial balance in the body.

Choice D rationale:

Diuretics. Rationale: Diuretics are medications that promote diuresis or increased urine production. They are used to manage conditions such as hypertension, heart failure, and edema. Diuretics primarily affect fluid balance in the body and do not directly increase the risk of candidal infections. While diuretics may lead to electrolyte imbalances, they are not associated with candidal overgrowth. Candidal infections are more often linked to antibiotics or immunosuppressive medications.

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Correct Answer is A

Explanation

Choice A rationale:

Impaired hepatic function requires cautious use of antiretroviral therapy. Many antiretroviral drugs are metabolized in the liver, and impaired hepatic function can affect drug metabolism and lead to potential drug interactions and toxicity. Adjustments in antiretroviral therapy may be needed in individuals with liver impairment.

Choice B rationale:

Impaired renal function also requires cautious use of antiretroviral therapy. Some antiretroviral drugs are eliminated by the kidneys, and impaired renal function can affect drug clearance. Dosing adjustments and drug selection may be necessary in individuals with renal impairment to prevent drug accumulation and toxicity.

Choice C rationale:

Hypertension is not a specific condition that requires cautious use of antiretroviral therapy. While some antiretroviral drugs can have side effects related to blood pressure, such as protease inhibitors, hypertension itself is not a contraindication for antiretroviral therapy.

Choice D rationale:

COPD (Chronic Obstructive Pulmonary Disease) is not a specific condition that requires cautious use of antiretroviral therapy. Antiretroviral therapy is primarily used in the treatment of HIV, and COPD is a lung condition unrelated to HIV. The two conditions do not directly interact, and COPD is not a contraindication for antiretroviral therapy. .

A. Stevens-Johnson syndrome (SJS). B. Anaphylactic shock. C. Thrombocytopenia. D. Leukopenia.

Correct Answer is A

Explanation

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A client receiving which of the following medications would the nurse identify as being at increased risk for candidal infections?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nursing students are reviewing information about antiretroviral therapy.The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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